Practical Leadership Seminar – Application


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Personal Information

Date of Birth*



As the parent or legal guardian of the participant identified on this registration, I hereby delegate authority to the Directors of "Practical Leadership Seminar" to arrange whatever medical treatment they deem necessary for him during the activity. Also, I hereby authorize and consent to the use and reproduction by YSI staff or an authorized agent or assignee of any and all photographs taken of the above-named applicant for the purpose of promoting YSI programs, without any compensation to me. All film, together with any prints, shall constitute property of YSI, solely and completely.
Who recommended this program to you?
Please include any dietary restrictions or medical conditions.
Write an essay (e.g. 200 words) on one of the following topics:

1.) Identify someone who has exercised a leadership role in your life and describe his influence.
2.) What quality more than any others makes for a great leader?
3.) What historical figure do you admire as a leader and why?

Applications submitted without an essay will not be considered.

You may want to draft your essay prior to completing the online application and then copy and paste it into the box provided.